{
"fields": [{"id":"6527b3e8-164c-4c58-96ac-b9ea4a703d5f","name":"choosemember","label":"Choose member","hideLabel":true,"placeholder":"Choose member","value":[],"type":"Select","required":true,"multiple":false,"options":[{"label":"Ambaflex","value":"Ambaflex"},{"label":"Automation W+R GmbH","value":"Automation W+R GmbH"},{"label":"Bosch Rexroth","value":"Bosch Rexroth"},{"label":"CIM","value":"CIM"},{"label":"Herrmann Ultraschall","value":"Herrmann Ultraschall"},{"label":"Jorgensen Engineering","value":"Jorgensen Engineering"},{"label":"KUKA","value":"KUKA"},{"label":"Lazpiur","value":"Lazpiur"},{"label":"Lundgren Machinery","value":"Lundgren Machinery"},{"label":"Matcon","value":"Matcon"},{"label":"Machine builders for Comexi","value":"Machine builders for Comexi"},{"label":"Mixaco","value":"Mixaco"},{"label":"Mecasonic","value":"Mecasonic"},{"label":"NPB Automation","value":"NPB Automation"},{"label":"Rockwell Automation","value":"Rockwell Automation"},{"label":"Schuler Group","value":"Schuler Group"}],"width":33},{"id":"2b27733e-c497-4c8a-90c0-a996247132d6","name":"firstname","label":"First name","hideLabel":true,"placeholder":"First name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"a86c57f8-12b9-4b30-b77b-453b74d30b37","name":"surname","label":"Surname","hideLabel":true,"placeholder":"Surname","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"8d10b91d-0ed4-458d-90e2-11676c245898","name":"companyname","label":"Company name","hideLabel":true,"placeholder":"Company name","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"afeb0d43-8ba4-4e65-ae9c-d45f994c935a","name":"emailaddress","label":"E-mail address","hideLabel":true,"placeholder":"E-mail address","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"7bc980bf-e51f-4bf8-ac86-f517f4892ba3","name":"jobtitle","label":"Job title","hideLabel":true,"placeholder":"Job title","value":[],"type":"Text","required":true,"multiple":false,"options":[],"width":33},{"id":"8c4c15b4-3521-42f4-9804-89de00f3117f","name":"yourquestion","label":"Your question","hideLabel":true,"placeholder":"Your question","value":[],"type":"Textarea","required":true,"multiple":false,"options":[],"width":100},{"id":"b7dd3bc5-e297-42f0-b7c3-7d6a3588e7f5","name":"batterylinecomrespectsyourprivacybytickingthisboxyougiveuspermissiontofollowuponyourrequest","label":"Batteryline.com respects your privacy. By ticking this box you give us permission to follow up on your request.","hideLabel":false,"value":[],"type":"Checkbox","required":true,"multiple":true,"options":[{"label":"I accept","value":"I accept"}],"width":100},{"id":"6b1d0532-4cfc-4ec5-b295-ee760c5cc8ad","name":"whanttostayupdatedonbatterylinecom","label":"Whant to stay updated on Batteryline.com?","hideLabel":false,"value":[],"type":"Checkbox","required":false,"multiple":true,"options":[{"label":"Yes, please keep me updated on the latest news","value":"Yes, please keep me updated on the latest news"}],"width":100}],
"terms": null
}